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- From: gld@cunixb.cc.columbia.edu (Gary L Dare)
- Subject: Re: Canadian healthcare system
- Message-ID: <1993Jan26.234856.18321@news.columbia.edu>
- Followup-To: talk.politics.medicine
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- Reply-To: gld@cunixb.cc.columbia.edu (Gary L Dare)
- Organization: Deep Space Nine (DS9)
- References: <1993Jan25.130426.750@fuug.fi> <93026.091302U56149@uicvm.uic.edu>
- Date: Tue, 26 Jan 1993 23:48:56 GMT
- Lines: 67
-
- G. L. Bartlett <U56149@uicvm.uic.edu> writes:
- >
- >You an others may be interested in the views of a Canadian physician
- >that were published last Fall. Ian R. Munro, "How not to improve
- >health care", Reader's Digest v.141, Sept., 1992, pp 40-53.
-
- Actually, this writer is a Brit who spent a couple of years in Toronto
- before moving to Dallas. He is an administrator, not a practicioner.
- By grossly exaggerating if not outright fabricating the influence of
- the government (which only serves as a vehicle for routing health
- insurance dollars) and ignoring the CMA-oriented doctors monopoly
- (like the AMA-oriented one in the United States), the scenarioes
- described do not resemble what anybody living/had lived in Canada sees
- and knows. Doctors make all the decisions -- "societal decisions",
- indeed!!! -- as if there were actually bureaucrats second-guessing
- doctors like in HMO's or now even health insurance firms (NYT, 1/24);
- in fact, it seems to me that Dr. Munro has taken beefs he has had with
- the U.K.'s National Health System (socialized medicine), and clumsily
- jury-rigged factoids to fit his arguments. I don't know where all of
- that comes from since the difference is how we PAY for health care ...
-
- E.g. -- abuse of emergency rooms. You know why it happens down here
- in the U.S. Since everyone has health insurance in Canada, why should
- they have to do it?
-
- Many facts and quotations are old if not out of context. I don't know
- if Reader's Digest even dared to print it in their Canadian editions
- (Anybody up north see it? Like in a doctor's waiting room? (-;) or
- anywhere else outside of the U.S., and if they did what debunking had
- been carried out in the Canadian press. The tone of the article also
- assumes that things like misdiagnosis cannot happen down here. The
- article falls flat on its face at one point when it condemned the
- wealthy and/or influential of being able to get better and quicker
- access through pull ... boy, some socialism!!! (-; And if you have
- deductibles, is that "moving away from 'national health care'" -- when
- it's just insurance? (In Spring '92, a private insurance consortium
- waged a PR campaign against the Quebec government's mumblings about
- privatizing some parts of their provincial health insurance plan).
-
- Also, if America is where Canada was 35 years ago, as per one quote
- ... well, our health insurance switchover wasn't even thought about
- 'til the late 60's, one of the points made even by Dr. Munro in the
- article (do the math! (-;). Even 20 years ago, we all paid cash in
- Canada and the U.S., and even Americans knew then that we Canadians
- had to travel to L.A. and New York for extreme cases for the same
- reasons as people from Montana and Vermont ... seems geography has
- been removed from American school curriculums in the interim. (-;
-
- Speaking of anecdotal evidence, with all the Canadian celebrities that
- receive American exposure I do not know of a single one who has become
- a spokesman against our "system" (nb. I do not advocate it for the US,
- I'm just trying to clarify reality -- there are some major cultural
- differences in values and behaviour Canada/France/Germany vs. USA):
- Jason Priestley (90210), Neil Young, Joni Mitchell (married to an
- American and living in L.A.), Michael J. Fox, Peter Jennings ... it's
- a massive list and you'd think that there'd be *someone* with a valid
- beef centered particularly around the way we do insurance up north ...
- the Canadian population in California alone is estimated at 1 Million.
- (I'm sure that includes children of Canadians and their spouses; it is
- a number oft-repeated up north, and still amazes me)
-
- gld
- --
- ~~~~~~~~~~~~~~~~~~~~~~~~ Je me souviens ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
- Gary L. Dare
- > gld@columbia.EDU GO Winnipeg Jets GO!!!
- > gld@cunixc.BITNET Selanne + Domi ==> Stanley
-